Oral and Maxillofacial Surgery

ITEM

RATING AND EXPLANATION

ACCEPTABLE

NOT ACCEPTABLE

Dental and medical history and physical examination

The criteria should be generally the same as approved for “Examination, Diagnosis and Treatment Planning,” considering the specific problem being evaluated.

The criteria should be the same as approved for “Examination, Diagnosis and Treatment Planning.”  

Radiographs

The criteria should be basically the same as approved for “Radiographic Examination.”

Necessary preoperative and postoperative radiographs taken.

The criteria should be basically the same as approved for “Radiographic Examination.”

Surgical considerations

1.        The surgical procedure judged an acceptable resolution for the problem presented.

2.        The physical findings and the patient’s general condition considered.

3.        The type of anesthetic agent and the administration also carefully considered.

4.        Appropriate study aids.

1.        If another type of procedure far preferable to the surgical procedure, taking all facets of the individual case into consideration is routinely available.

2.        Inappropriate use of one anesthetic agent where another would be safer.

3.        Catastrophic accident resulting from poor preoperative evaluation.

4.        Procedure done without necessary preparation and materials.

5.        Anesthetic agents administered by unqualified and unsupervised personnel.

TECHNIQUE

1.        Adheres to modern standards of cleanliness, sterility and instrumentation.

2.        Treatment complete with involved tissues, hard and soft, treated or removed without undue trauma to adjoining tissues.

3.        In a case where root tip remains following extraction, proper disposition made.

4.        A working knowledge of emergency procedures, along with the presence of necessary emergency drugs and equipment according to accepted peer standards.

1.        Improper sterilization of instruments and general lack of cleanliness in offices.

2.        Incompleteness of treatment, improper management of soft tissue incisions and undue trauma to adjoining tissue.

MAINTENANCE OF RECORDS

Notations of an appropriate history and physical examination, treatment performed and follow-up care, drugs used, appropriate reports and correspondence, radiographs ordered by the oral surgeon or dentist included in the records and kept for the period of time prescribed by law.  Proper consent of patient obtained.

Little or no information concerning the history and physical examination, no indication of final treatment, no mention of drugs if they were used; laboratory reports, operative reports, and correspondence not present and radiographs when ordered by the treating dentist, not kept for the period of time prescribed by law.  Lack of patient consent.

POST-OPERATIVE AVAILABILITY

The individual performing the surgery or a qualified alternate available to treat or to get suitable treatment for postoperative complications.

Lack of reasonable availability of the surgeon or a qualified alternative.